HomeMy WebLinkAbout05-15-12~~
PETTTION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name• Joann B. Moore
a/k/a:
a/k/a:
a/k/a:
Date of Death: March 16.2012
FSIe No; ~ ~' ~ ...
(Assigns by Register)
Social Security No:
Age at death: 74
Decedent was domiciled at death in Cumberland County, penn~lvania (State) with his/her last
principal residence at 17 Circle Drive. Mechanicsburg 17055 Mechanicsburg Cumberland
Street addrcse, Poet OBlee and Zip Code City, Towm6lp or Borough Conoty
Decedent died at Holy Snirit Hospital. Como Hill 17011 Camn Hill Cumberland PA
Street addran, Poat O(Ilee and Zip Code City, Township or Borough Couuly State
Estimate of value of decedent's property at death:
IjdoarkUed In Pennsylvdnta ............................ Alt personal ProPertY $ ~ y , u~
Ijnot /oaelclled in Penneylventa ........................ Personal property in Pennsylvania $
/jaor doaeklkd !n Penneyfvania ........................ Pereonal property in County S
VaWe ojrcd estate in Penneyfvonla ......................................................... $ '~'
TOTAL ESTTMATED VALOR.... $ S"; °C.:. 0.00
Real estate in Pennsylvania situated at: dt ~ G l ~.(' u~ 1] ~• i'(+f G"-G/i~ ~.~- ~ l.7 (1~Gf'p}t.l~J G VsM.t~
(Aaach additionol sheets, ijnecessary) Street addreu, Pod Otike and Zip Code City, Township or Boraag6 County
^ A. Petition for Probate and Grant of Letters Teatameatarv
Petitioner(s) aver(s) he/eheRhey is/are the Executor(s) named in the imt Will of the Decedent,
thereto dated
Shte rckvant drcuwtancd (ag. rcnundatlon, dntA of execuror, daJ
Exceptmfollows: after the execufion ofthe instroment(s)offered forprobate Decedent did not marry, was not div<
divorce proceeding wherein the grounds for divorce had been established m defined in 23 Pa. C.S. § 3323(8),
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS ~ EXCEPTIONS
0
~ ~_:_
_ cn ~`
~ _J
~i _~
D ~
® B. Petition for Grant of Letters of Administration (if applicable)
c.t.a., d.b.n., A.b.n.c.t.a., pendants life, durance absentia, durance minoritate
It Administration, ctn. or db.n.cta, enter date of Wi11 in Section A above and complete list of heirs.
Except m follows: Decedent wm not a party to a pending divorce proceeding wherein the grounds for divorce had been established m defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), afteraproper searoh has/have ascertained that Decedent left no Will and was survived by thto following spouse (if any) and heirs (attach
additional sheets, if necessary):
Naroe Relationshi Address
William H. Moore Spouse 17 Circle Drive, Mechanicsburg, PA 17055
William F. Moore Son 107 Buttonwood Court, New Cumberland, PA 17070
Colleen D. Myers (Moore) Daughter 824 Tavistock Road, Mechanicsburg, PA 17050
Jeffrey L. Moore Son 17 Circle Drive, Mechanicsburg, PA 17055
Fo,mxw-oz rev. raildzoii Page 1 oft ~~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF
official uae Daly
RFCCF~~~'~ :"=FUSE ~
rnu~~'- f .^~'ll I C
L
Petitioner(s) Printed Name Petitioner(s) Printed Address
William F. Moore 107 Buttonwood Co New Ctunberlan L t @ r ^ '
CUMBERLAND CO, PA
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tme and con~ect to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) ofthe Decedegt th/e Pe~titio-ner(s) II well and truly administer the estate according b law.
Swortt.taor af$Cnted and subscribed before ~/ ~~/t^ Date r ~ sr~ ~
BOND Required: ~ YES Q NO
FEES:
Letters ...................... $~
(3 )Short Certificate(s)...... a
(3 )Renunciation(s)......... is-
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
To tNe Register of R'iifs:
Please eater my appearance by my signature below:
Attorney Signature:
Printed Name•
Supreme Court
ID Nnmber:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of Joanrt B Moore
a/k/a:
AND NOW,
satisfactory proo
the instrument(s) dated _
described in the Petition
presented before me, IT
_ are hereby granted to
to probate and filed
File No: ~~ /(~
in cor)<sideration f the foregoing Petition,
Will (and
estate
,.., -
Form RW-02 .ew. tauimu Page 2 of 2
HIOSpO~ Rib Ir~ill
LOCAL REGIS~AR'S CERTIFICATION C1F DEATH
WA~g~i)({;i~`til ++--~~o duplicate this copy by photostat or photograph.
h"7 J I L ~ '„rl
~Sr~,~t ,. ,~ a 'N~~ I C
Fee for [his certificate, $6.00
This is to certify that the information here given is
(~~2 MAY ~ S Ai~~ ~ ~ ~ ~~ correctl:y copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
„1;-~1,-n~ certificate will he lolwurded to the Swte Vital
oR~~N~S ~V, ~r Records Office for pe manent filing.
P 1819 5 Q 10 cu~neER~o co.. ~+ ~~ ~ / 1~r /air
Certification Number Local P:eglstrar Date Issued
rypylrlMln [CMMOMWFLL1X OFffHXFYLVµ4•wpRRFMEMaF NEµiN•NiA1NEfOPw
°'f"'.°"."' CERTIFICATE OF DEATH .._.._.. ._
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Joann H. M~ox'e Feral 161-32-9352 March 16 2012
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Ben3azd Frederick Jones us Bernice Cook
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ZG':2 MAY 15 Alt, I I ~ 36
RENUNCIATION
„~
ORrrWIW'~ ~~~!i1T
REGISTER OF WILLS t,~L~RLAND CO pA
CUMBERLAND
CU
COUNTY, PENNSYLVANIA
Estate of JOANN B. MOORE
Deceased
1, William H. Moore , in my capacity/relationship as
(Prinz Name)
Husband of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
William F. Moore
(Dole)
~ T
(Signature)
17 Circle Drive
(Stree7 Address)
MechanicsbwA, P,A 17055
(City. Stale. Zip)
Executed in Register's O,/J3ce
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Executed out ojRegister's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this 1 ~ day
of V~ ~ o l 2_
~,~~~
Notary Public
My Commission Expires: ~/'r~(I l Y, ~~+Z
(Signature and Seal of Notary or other official qualified to
administer oaths. Show dad: of expiration ofNOtery's Commission.)
COMMONWEALTH OF PENNSYLVANL4
Form RW-06 rev. 10./3.06
NtNarld Seal
Natltarl R. Kelso, Notary Publk
Hampden Twp., CumbeHand County
tT/ Com7riYelon Dtplroa ApN 18, 2016
MEMBER. PENNMVANU ASSODA710N OF NOTARIES
Rf_COR~E~.:' FiCE OF
~F(~I' ~; ~ ~"''~.~
RENUNCIATIOl'}Tfl12MAy 15 Afi I i - 36
REGISTER OF WILLS f~~ ~'~ ~~ '~~
CUMBERLAND COUNTY, PE ~ ~ ' ~ ~r
~~t~., f'A
Estate of JOANN B. MOORE ,Deceased
I, Jef&ev L Moore ,in my capacity/relationship as
(Prior Name)
Child (Son) of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
William F. Moore
(IMteJ
17 Circle Drive
(Street AddreuJ
Mechanicsburg, Pa 17055
(City, State, Zip)
Executed in Register's O,/,)'ice
Swom to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Executed out of Register's OJJ'cee
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~_ day
of ~a // a°`Z-
Notary Public
My Commission Expires: /~c.1 l~i ,201 tf
(Signature end Seel of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMh10NYVEALThi OF PENNSYLVANIA
Form RW-06 rev. /0./3.06
Notarial Seal
Nathan k. Keko, Notary Publk
HenN%kn Twp., Cumberland Copnty
1'lY farrrnllSilarr ExpNes April 18, 2016
MEMBER, VENNMVANW ASSOUATION OF NnTPR1E5
~f:COR'~i; ~=rtCE OE
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVR,NIA
ra~z~saris ~~ii~s~
~,,,, ~.~
URrw'~I~J vU~.:i~r
CUMBERL,4ND CQ.. PA
Estate of JOANN B. MOORE
Deceased
I, Colleen D. Myers , in my capacity/relationship as
(Print Name)
Child (DauP.hter) of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
William F+. Moore
(Date) (Slgnatave)
824 Tavistock Road
(Street Address)
Mechanicsburg, PA 17050
(City, State, ZipJ
Executed in Register's O,p?ce
Sworn to or affirmed and subscribed
before me this / Y day
Deputy for Register of Wills
Executed out ojRegister's OJjice
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ! .~ day
x: Z'
ry Public
y Commission Iixpires:
(Signature and Seal of Nohuy or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
NOTARIAL SERI,
JEANETTE K CEPIETI
No1~ry PuDllc
SUSDUEHANNA'rWP., DAUPHIN COUNTY
My Commiselon Explrec Jan 27, 2014